| NPI | 1952653826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1680) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010637) |
| 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1353) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 108366) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8145) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2014-06-03 |