| NPI | 1184026106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7421) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2017-11-27 |