| NPI | 1538565908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1749) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1505141) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-03-27 |