| NPI | 1164892428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000519) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01833) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |