| NPI | 1083141188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6423) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |