| NPI | 1770635617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY1107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002055A) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-09-25 |