| NPI | 1124453550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0000533) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0000533) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-05-14 |