| NPI | 1790009876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001835) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009809) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2015-12-14 |