| NPI | 1588063408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015026297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22124) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2023-08-29 |