| NPI | 1215284617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018009763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010028887) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-05-15 |