| NPI | 1093187478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008038) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2020-10-15 |