| NPI | 1770261489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001152) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-06-09 |