| NPI | 1073252920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4906) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 14393410) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2026-07-31 |