| NPI | 1790171759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06519) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-08-23 |