NPI | 1205589868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12616) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0103789) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2025-09-01 |