NPI | 1255682159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 360156) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002077) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2024-04-18 |