| NPI | 1902332976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 307244) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 199789) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-03 |