| NPI | 1871011783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30000024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 40092) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-08-27 |