| NPI | 1902256845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP10051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP28210) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-08-09 |