| NPI | 1770994527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016646) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21701) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2019-09-24 |