| NPI | 1972270189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 278094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 271732) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-06-27 |