| NPI | 1538545389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002157) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 113885) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |