| NPI | 1013641208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24431539) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30000835) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-12-12 |