| NPI | 1215673124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000027) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-08-07 |