| NPI | 1326391988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000309) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 01097778) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2021-01-20 |