| NPI | 1134696321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 242069) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16381) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |