NPI | 1124429139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24377210) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 19928) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2024-01-12 |