| NPI | 1568940088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 12606) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-04-29 |