| NPI | 1548507668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SP-3881) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2026-06-30 |