| NPI | 1902789142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 24510727) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-08-13 |