| NPI | 1225363773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 2356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05849) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-11-30 |