| NPI | 1043405145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002651) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3314-154) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-12-18 |