NPI | 1124795786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3149) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2844) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-07-29 |