| NPI | 1508573262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2411) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV PSLP-0969) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-05-30 |