| NPI | 1558752030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001929) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9125) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-10-28 |