| NPI | 1821382722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0000137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12145496) |
| 235Z00000X Speech-Language Pathologist, (Licence: 12145496) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2014-08-21 |