| NPI | 1922256031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1287) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8316) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2011-01-12 |