| NPI | 1396023149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06624) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2019-05-22 |