| NPI | 1205315256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12488) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2019-12-26 |