| NPI | 1093206476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 286581) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-08-17 |