| NPI | 1033673553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTA.0013187) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-05-07 |