| NPI | 1245795681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005267) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28241) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2023-05-15 |