| NPI | 1295347094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SP-2072) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13049) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-02-15 |