| NPI | 1285759167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05368) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-05-20 |