| NPI | 1174870901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3056) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2020-11-05 |