| NPI | 1710072970 |
|---|---|
| Former Name | CAROLYN MARIE REUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002446) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0435) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |