| NPI | 1497248041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1959) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P-FLP0748) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-08-09 |