| NPI | 1528590031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25651) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPE10752) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-02-11 |