| NPI | 1639499114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000128) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 05949) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004969) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2023-03-01 |