| NPI | 1912398611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000774) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007790) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-08-18 |