| NPI | 1649679010 |
|---|---|
| Former Name | SURIYAH LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07256) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-10-27 |