| NPI | 1588260459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005448) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016169) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2025-10-14 |