| NPI | 1720286818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP5700) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA SLP5700) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-06-12 |