| NPI | 1649565243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2729) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7390) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-10-29 |