| NPI | 1649487125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8195) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1056) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-05-14 |