| NPI | 1518500131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33572) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09086) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2022-08-18 |