| NPI | 1902232036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020016125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 18335) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 4793) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2023-05-10 |