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 |