| NPI | 1215493341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24058) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0100717) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2025-10-08 |