| NPI | 1720531155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25657) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE10644) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-08-15 |