| NPI | 1033634357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24378053) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004404) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-01-04 |