NPI | 1831626100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0003176) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO 171273) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2022-07-21 |