| NPI | 1700936994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP16142) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7718) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-10-11 |