| NPI | 1275302507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006021) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 141452) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-11-19 |