| NPI | 1538570239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP1534) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11156) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |