| NPI | 1073152427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016691) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-06-02 |