| NPI | 1871076265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28831) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 12837) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2021-04-21 |