NPI | 1578905535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21803) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8310) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2025-01-14 |