| NPI | 1013178003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10209) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11264) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-03-09 |