| NPI | 1861685737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3352) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 1547) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-06-17 |