NPI | 1003403528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-4058) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-12-30 |
Last Update Date | 2024-09-27 |