| NPI | 1629059258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 01107509) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0000006) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-11-23 |