| NPI | 1841648383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WV SLP-2006) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL 14529) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-11-16 |