| NPI | 1972353415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 38885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18831) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-05-28 |