| NPI | 1508592825 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16830) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23685) | 
| Enumeration Date | 2022-07-28 | 
| Last Update Date | 2025-06-27 |