| NPI | 1326031972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 001132) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-09-12 |