| NPI | 1972939387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8461) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP 22983) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2016-11-30 |