| NPI | 1417926320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10766) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 01070846) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001417) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-12-26 |