| NPI | 1629207659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV 1263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1263) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2019-04-30 |