| NPI | 1073862504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 0585) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001378) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2020-03-06 |