| NPI | 1780310904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KY 279378) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KY 279507) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-08-09 |