| NPI | 1790119303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20172) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 8242740) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2023-08-04 |