| NPI | 1700059367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 12123789) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 121223789) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2024-03-04 |