| NPI | 1790067502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10802) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP19233) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2024-09-18 |