| NPI | 1841649613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005747) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5976) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2024-09-03 |