| NPI | 1306355722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15408) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-03-02 |