| NPI | 1427251842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 141058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2638) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-12-07 |