| NPI | 1003049388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 4680) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WV 1226) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2025-08-25 |