| NPI | 1972140473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023439-1) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2026-01-08 |