| NPI | 1710336706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001711) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-809) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2020-11-04 |