| NPI | 1154887719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020025692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018002541) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-08-19 |