| NPI | 1164021861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023038423) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 352733) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003604) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-10-29 |