| NPI | 1902426117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29593) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA15834) |
| 235Z00000X Speech-Language Pathologist (Licence: GA SLP010803) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |