| NPI | 1740760586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6561) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-11-04 |