| NPI | 1164899274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30708) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-09-24 |