| NPI | 1609330679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20473) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 33633) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-01-17 |