| NPI | 1841733060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30894) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60869951) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2023-01-11 |