| NPI | 1316257447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP 1278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 7001) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |