| NPI | 1821542721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0004185) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SLP.0004185) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-08-15 |