| NPI | 1346686862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO slp.0005153) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021166) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-09-11 |