NPI | 1316491947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 173215) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 168906) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2017-07-19 |