| NPI | 1487000766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 345619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 153443) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-09-05 |