| NPI | 1730804535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 00003878) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID 5014) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 2025) | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |