| NPI | 1023228194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4805) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3110) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |