| NPI | 1508137621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 019224) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DC SLP000665) |
| 235Z00000X Speech-Language Pathologist (Licence: VA 2202007020) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2016-12-01 |