| NPI | 1578282711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10350) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL008062) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |