NPI | 1891879581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 138249) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-10-25 |
Last Update Date | 2016-06-06 |