| NPI | 1174170195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004330) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01894L) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-08-23 |