| NPI | 1497134316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008482) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 000674) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2026-05-07 |