| NPI | 1679125710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP29214) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2836) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-06-03 |