| NPI | 1639795032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0005408) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18922) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-07-10 |