| NPI | 1700058864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3572) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ASHA 12119694) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2013-02-19 |