| NPI | 1205992799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3173) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004360A) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |