| NPI | 1619480217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 139838) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9563) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22004985A) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |