| NPI | 1427602325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004614) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6799) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-11-17 |