NPI | 1215674205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 284369) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 277744) |
Enumeration Date | 2022-05-19 |
Last Update Date | 2024-09-24 |