| NPI | 1851692230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4481) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 1513) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2024-10-10 |