| NPI | 1154695732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 12-014) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 4600267A) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2020-04-07 |