| NPI | 1619235439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 0442) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002700) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2015-05-15 |