| NPI | 1124436316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1590) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-11-08 |