| NPI | 1891240024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012692) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 07974) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2019-10-28 |