| NPI | 1811595911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 9534) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-11-06 |