| NPI | 1558038562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36404) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16568) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2026-05-07 |