| NPI | 1700370558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 251230) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 242715) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-05-08 |