| NPI | 1891406294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 2311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 0922) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-08 |