| NPI | 1396564522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 24516036) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 02855L) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2025-08-14 |