| NPI | 1891363669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006020) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-10-18 |