| NPI | 1932179769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SPL.0000125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1733) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2001003709) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-08-30 |