| NPI | 1952750911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP0113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08162) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-09-02 |