| NPI | 1992837405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 139846) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2017-01-10 |