| NPI | 1861540213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 141035) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 1599) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-07-30 |