| NPI | 1538280318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 142523) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 1557) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-10-30 |