| NPI | 1750020319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP33608) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5296) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-01-13 |