| NPI | 1598954943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 139121) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 139121) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-01-04 |