| NPI | 1487864625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HUDSON Owner 859-219-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1962) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |