| NPI | 1669728077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000578) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006925) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2019-01-11 |