| NPI | 1801263041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21678) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 5123274-4102) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2024-12-23 |