| NPI | 1376289264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 284491) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 277565) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-04-26 |