| NPI | 1841674355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9861) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-05-07 |