| NPI | 1063781417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2753) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2016-05-26 |