| NPI | 1689807620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000911) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 14001027) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-06-17 |