| NPI | 1407040736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001768) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000388) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-03-17 |