| NPI | 1245402973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2363) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 6332) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |