| NPI | 1104375997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003225) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1999) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 026941) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2023-11-13 |