| NPI | 1780290007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001645) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2026-07-05 |