| NPI | 1053723304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 138184) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3812) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2020-10-15 |