NPI | 1326741554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 14339917) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003925) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2024-01-09 |