| NPI | 1619682978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24492689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8833) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-12-13 |