| NPI | 1477108157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 270069) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 251832) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2021-07-29 |