| NPI | 1790263895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14449) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000356) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-10-25 |