| NPI | 1962872713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GU SLA-036) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2021-08-16 |