| NPI | 1649823709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24511549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12112) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-09-25 |