| NPI | 1780401406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2557) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10656) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |