| NPI | 1548662463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29844) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PR 4182) |
| 235Z00000X Speech-Language Pathologist (Licence: OK 5935) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2023-03-30 |