| NPI | 1659741973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08274) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001087) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-02-28 |