| NPI | 1164952776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO slp.0003460) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-11-06 |