| NPI | 1578707485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY ky-3484) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9163) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-12-03 |