| NPI | 1699278002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003531) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018005968) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2019-11-14 |