| NPI | 1639025117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1872) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12998) |
| Enumeration Date | 2026-03-07 |
| Last Update Date | 2026-03-16 |