| NPI | 1295010155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 242104) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA698) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2019-08-09 |