| NPI | 1275888315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001758) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 3155) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2020-08-07 |