| NPI | 1528633591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz9588) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2021-09-05 |