| NPI | 1134558042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000579) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04497) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |