| NPI | 1144671090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 173426) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 1281) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-09-25 |