| NPI | 1477833739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 07076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DC SLP000591) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2015-02-17 |