NPI | 1932979135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004929) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 24449096) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-08 |