| NPI | 1093913659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002151) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16112) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-04-10 |