| NPI | 1841784972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 276133) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 14129175) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-06-13 |