| NPI | 1770094559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001177) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000841) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |