| NPI | 1821490053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33333) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15869) |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 2016) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-06-22 |