| NPI | 1639648157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30485) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76802) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2025-06-11 |