| NPI | 1386156602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002104) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118042) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT 11676) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 78566) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 31861) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2024-11-21 |