| NPI | 1649152661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 38942) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SD 1370) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |