| NPI | 1679080816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000343) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000343) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-03-21 |