| NPI | 1821663360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005395) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09499) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-11-23 |