| NPI | 1730957069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24383191) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 24474016) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-09-04 |