| NPI | 1669716379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1595) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 12-040) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-07-21 |