| NPI | 1801400262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7119) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 38495) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-06-19 |