| NPI | 1114598661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24426794) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011613) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-01-08 |