NPI | 1700264686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0003810) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2015-05-12 |
Last Update Date | 2021-03-18 |