| NPI | 1962610337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 138126) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 0648) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-04-08 |