| NPI | 1104647734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 4003) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4330) |
| 224Z00000X Occupational Therapy Assistant (Licence: PR 0860) | |
| 225X00000X Occupational Therapist (Licence: PR 679) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 308) | |
| 103TC1900X Psychologist, Counseling (Licence: PR 4330) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-23 |