| NPI | 1134559677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12751) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV A5N136300196) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2021-04-05 |