| NPI | 1538269550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0187) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 4089) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |