| NPI | 1619405214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV 2254) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22155) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2019-11-08 |