| NPI | 1972080018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16877) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2352) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2021-05-04 |