| NPI | 1114472958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013134) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-06-24 |