| NPI | 1679045728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09168) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001413) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2022-06-04 |