| NPI | 1427189505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12064957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4274) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 12064957) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-08-30 |