| NPI | 1164075644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0006172) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL014610) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-12-03 |