| NPI | 1346625191 |
|---|---|
| Professional Name | SELAH ALLEGRA SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1834) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |