| NPI | 1811215148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001063) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10259) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6362) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-03-14 |