| NPI | 1720760408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1574) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.09536) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |