| NPI | 1619485471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NV SP-2259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 112119) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-03-15 |