| NPI | 1598125049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002345) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-02-08 |