| NPI | 1790369262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31630) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI SP31630) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-09-14 |