| NPI | 1154540946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004293) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1563-154) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-07-12 |