| NPI | 1235786179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005498) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2021-08-02 |