| NPI | 1548664493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0005458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 19714) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-11-20 |