| NPI | 1558747998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2774) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-01-24 |