| NPI | 1306197173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06486) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |