| NPI | 1740789254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28106) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2962) |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2022-05-03 |