| NPI | 1720440035 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: MO 2020010041)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| 235Z00000X Speech-Language Pathologist,   (Licence: AL 3938)  | |
| 235Z00000X Speech-Language Pathologist,   (Licence: NC 11885)  | |
| Enumeration Date | 2016-03-25 | 
| Last Update Date | 2021-09-29 |