| NPI | 1073354577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 200001784) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11100) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-10-08 |