| NPI | 1023342359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002131) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05403) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005209) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2017-01-13 |