| NPI | 1639571979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP26726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 3629966) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-06-04 |