| NPI | 1245358134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP6401) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-11-10 |