| NPI | 1942737598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP1610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15150) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-05-14 |