| NPI | 1104312305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 40742) |
| Additional Taxonomies | 101Y00000X Counselor |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 13407584-4102) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2026-06-26 |