| NPI | 1215544994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0004618) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO PSLP.0000653) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-10-12 |