| 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 | 2025-04-04 |