| NPI | 1962865386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: KY SLPLPA00222527) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2024-04-15 |