| NPI | 1639579097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-2634) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2808) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-04-28 |