| NPI | 1962040972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29277) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 1361) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |