| NPI | 1124220611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 142441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3247) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-04-06 |