| NPI | 1437538907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 167713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPIN00218791) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-07-23 |