NPI | 1457527269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140658) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3417) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2017-02-20 |