| NPI | 1306298310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001036) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012206) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-11-23 |