| NPI | 1790347458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE13693) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-03-30 |