| NPI | 1659805356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 005313) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-06-07 |