| NPI | 1750763918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007908) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001045) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-12-08 |