NPI | 1730817529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24470410) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13795) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005888) | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2024-08-26 |