| NPI | 1144900630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24954) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 21496) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-07-27 |