| NPI | 1932781010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021010811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4839) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001718) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |