| NPI | 1053685933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006437) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000306) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2022-09-08 |