| NPI | 1508995739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-0401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22001840A) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-11-04 |