| NPI | 1770256489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33532) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15713) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-10-11 |