| NPI | 1497999825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP1840) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-05-26 |