| NPI | 1225122575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 9065) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-08-12 |