| NPI | 1528395472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD SLP02060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000277) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2018-06-11 |