| NPI | 1174144877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 140529) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12179) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |