| NPI | 1760802961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 240562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007302) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2019-05-30 |