| 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 |