| NPI | 1588002562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000545) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-06-15 |