| NPI | 1053025502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1147) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |