| NPI | 1982057436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002452) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012716) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-10-25 |