| NPI | 1902572373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36023) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78056-SP-SL) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-11-08 |