| NPI | 1033781885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000814) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-09-19 |