| NPI | 1508171141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 01101926) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0363023) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |