| NPI | 1568340651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21073) |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-05-15 |