| NPI | 1558605964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2775) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004591A) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |