| NPI | 1831238229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2180) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8805) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002908) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.5227) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-01-03 |