| NPI | 1215796164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24504000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 18060) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-08-11 |