| NPI | 1427509405 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001064) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08293) | 
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007937) | |
| Enumeration Date | 2016-10-14 | 
| Last Update Date | 2016-10-14 |