| NPI | 1023275989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1930) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 09130917) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-01-29 |