| NPI | 1972190957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15289) |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2022-10-17 |