| NPI | 1427218999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 4404) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4592) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-11-10 |