| NPI | 1902243918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 30315) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DE O1-0001271) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-05-10 |