| NPI | 1548696537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 12154497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07139) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |