NPI | 1528518115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0002603) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 14068153(ASHA)) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2022-12-29 |