| NPI | 1992095475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP23925) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60585482) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2019-07-08 |