| NPI | 1962088484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 17512059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.004288) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-11-10 |