| NPI | 1285014753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008791) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |