| NPI | 1225494396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 168308) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPINP00220942) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2023-08-06 |