| NPI | 1407304819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0003056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM C-6059) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-11-20 |