| NPI | 1053787002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000598) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007159) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 07984) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |