| NPI | 1700515244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001343) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61237997) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |