| NPI | 1609638964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0007) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |