| NPI | 1750609749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2977) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2020-11-18 |