| NPI | 1730346552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 263543) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1172) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-04-20 |