| NPI | 1235706763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO PSLP.0000773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO 0000773) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |