| NPI | 1801326913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05467) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |