| NPI | 1487037396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 354531) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015565) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-12-12 |