| NPI | 1356862825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 108468) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000232) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 0003398) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-08-23 |