| NPI | 1487175956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001035) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-03-08 |