| NPI | 1003655770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 304389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 01084415) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |