| NPI | 1831482025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 325471) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12128939) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2023-12-05 |