| NPI | 1538205273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0809) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0803) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-01-04 |