| NPI | 1629403688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01851) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001913) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC 000794) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2018-09-13 |