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 |