| NPI | 1861629412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1079) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-04-18 |