NPI | 1437296373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00220274) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: KY 200161371) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2024-06-21 |