| NPI | 1033941364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 300404) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 294291) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-07-10 |