| NPI | 1508815051 |
|---|---|
| Former Name | MICHELLE A IMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5895) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-09-23 |