NPI | 1770905861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP2498) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21309) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2023-04-06 |