| NPI | 1780714014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 1921) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |