| NPI | 1376674838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 1307) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 24495665) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-01-17 |