| NPI | 1538467725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 21291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29802) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2023-08-10 |