| NPI | 1245607605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1634) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 4305) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2021-11-18 |