| NPI | 1922235290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12638) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 3800) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 09-049) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2018-07-20 |