| NPI | 1255619532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06708) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2014-04-23 |