| NPI | 1588967657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004623A) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2016-06-05 |