| NPI | 1710655543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 39971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19735) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2026-05-13 |