| NPI | 1043662588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11471) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8107) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003628) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-08-03 |