| NPI | 1821570037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109772) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-10-08 |