| NPI | 1760945935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29542) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13353) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-11-13 |