| NPI | 1033800602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 291977) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 285828) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-05-29 |