| NPI | 1871706598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1156) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15549) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-01-19 |