| NPI | 1659844116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28165) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007287) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-08-13 |