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 |