| NPI | 1548851512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 30002810) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0002934) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-06-12 |