| NPI | 1063275907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004001) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024824) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |