| NPI | 1588177042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004031) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006481) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 76543) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-07-22 |