NPI | 1760058473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24403080) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000521) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-02-29 |