| NPI | 1497953277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-07-022) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-07-21 |