| NPI | 1477174142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005339) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-01-09 |