| NPI | 1396942389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-07-001) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 142462) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-05-15 |