| NPI | 1912332552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.003415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5413) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2019-07-05 |