| NPI | 1922479484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005162) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 24730) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 10267) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2023-04-04 |