| NPI | 1992193783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4051-154) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2022-06-27 |