| NPI | 1699089565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1455) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006101) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2024-09-03 |