| NPI | 1578975116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4213) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-04-09 |