| NPI | 1710247846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 12-001) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-06-10 |