| NPI | 1306242243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: DC SLP001221) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 08902) |
| 235Z00000X Speech-Language Pathologist (Licence: VA 2202008834) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-06-02 |