| NPI | 1467744904 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000223) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006201) | 
| 235Z00000X Speech-Language Pathologist, (Licence: 12128901) | |
| Enumeration Date | 2011-05-03 | 
| Last Update Date | 2013-08-29 |