| NPI | 1669106225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: SC 8128) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA CA6851) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-05-10 |