| NPI | 1932805017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005794) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016918) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-06-25 |