| 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 |