| NPI | 1588047526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 162888) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID slp-2742) |
| 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00218485) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-09-30 |