| NPI | 1760742555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24369313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-TMP-2225) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2024-01-04 |