| NPI | 1366705345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00218483) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0541) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2015-06-06 |