| NPI | 1114567286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24420770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14040) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 30653) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-02-29 |