| NPI | 1760750301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24382802) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0484971) |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2024-02-12 |