| NPI | 1902197072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 65465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019691) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2021-03-29 |