| NPI | 1619358330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07478) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000482) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-11-13 |