| 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 |