| NPI | 1215169230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1738) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2210) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2017-01-18 |