| NPI | 1346712247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06380) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |