| NPI | 1114174679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24492389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008025330) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2025-05-07 |