| NPI | 1962662403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SPL-0434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2008095) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |