| NPI | 1104689561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 17016270) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12066816) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0000553) | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |