| NPI | 1548572035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000323) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02939) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2015-03-25 |