| NPI | 1700094554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 2041) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sa8343) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-07-16 |