| NPI | 1386906287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1457) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 107007) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-11-12 |