| NPI | 1144487265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 0929) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 235z00000x) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |