| NPI | 1396138335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000758) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00785700) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2024-08-22 |