| NPI | 1215086053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140274) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2346) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-04-27 |