| NPI | 1245711977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003307) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 14195732) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-01-10 |