| NPI | 1548644156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07027) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC slp000484) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-03-16 |