| NPI | 1245724855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 261665) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 242775) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-03-27 |