| NPI | 1659455301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-0374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002294A) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |