| NPI | 1295815470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1862) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 143001) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-06-24 |