| NPI | 1063144269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 278018) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 270201) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-29 |