| NPI | 1588294417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004086) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 7739) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-04-26 |