| NPI | 1912482274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 13355) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2024-07-01 |