| NPI | 1275804148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8475) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 139594) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH 13972) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY KY 2985) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-03-29 |