| NPI | 1639579766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1370) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-5948) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-06-02 |