| NPI | 1720596760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 27438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 11892) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-09-14 |