| NPI | 1821533241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004249) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2021-06-12 |