NPI | 1417369448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000847) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 306173) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2023-11-13 |