| NPI | 1649646613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 14065894 (ASHA)) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002148) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |