| NPI | 1144542069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005791) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2014-04-16 |