| NPI | 1497309157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30177) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13665) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-11-25 |