| NPI | 1588397624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 333778) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-08-30 |