| NPI | 1730442112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24427871) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP776) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-05-07 |