| NPI | 1770733941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV Sp-1728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5869) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2015-01-16 |