| NPI | 1568986008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25719) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026617-1) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |