| NPI | 1578224820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 6146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 27474) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2024-08-30 |