NPI | 1013281286 |
---|---|
Former Name | AMBER ROE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 141361) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 04014A) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2022-06-24 |