| NPI | 1679257869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24478391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK CF580) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-09-08 |