| NPI | 1538500012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21842) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8255) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-12-01 |