NPI | 1235344318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1901003) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP #2131) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-07-21 |