| NPI | 1811385701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY A00216200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 162769) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2021-10-11 |