| NPI | 1114233210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3991) |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2015-10-22 |