| NPI | 1467875377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06409) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 359) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2023-09-19 |