| NPI | 1558974154 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLPCF000078) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000575) | 
| Enumeration Date | 2020-08-25 | 
| Last Update Date | 2020-08-25 |