| NPI | 1851581805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP2132) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-03-02 |