| NPI | 1326820457 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001662) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11168) | 
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011574) | |
| Enumeration Date | 2023-10-13 | 
| Last Update Date | 2024-08-29 |