| NPI | 1548872559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 269095) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 252559) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-12-19 |