| NPI | 1205550985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR LL61068871) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2025-03-06 |