| NPI | 1720360225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: DC SLP000001) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202005790) |
| 235Z00000X Speech-Language Pathologist (Licence: MD 04491) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |