| NPI | 1538729496 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3093) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01823L) | 
| Enumeration Date | 2019-06-13 | 
| Last Update Date | 2021-11-09 |