| NPI | 1720765365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0001116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16650) |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2026-07-09 |