| NPI | 1063941003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1942) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 0707) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-04-22 |