| NPI | 1619534740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2902) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-01-11 |