| NPI | 1275196958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 14428677) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0001148) | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-07-23 |