| NPI | 1982824413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3039) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004347A) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2017-07-06 |