| NPI | 1548735210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2808) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23578) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-10-07 |