| NPI | 1669937785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29627) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 13304) |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2022-02-01 |