| NPI | 1578059176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003753) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000389) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2021-10-14 |