| NPI | 1780948257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5124) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007156) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001501) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2020-11-12 |