| NPI | 1679973028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24400084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6795) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 027465) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-11-27 |