| NPI | 1942673132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0002179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO 0002179) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-08-05 |