| NPI | 1972272235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61214057) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2026-05-08 |