| NPI | 1558788059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 08365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DC SLP001119) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2021-06-03 |