| NPI | 1962537639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004190) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4052) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-04-29 |