| NPI | 1235729252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 1439) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 6670) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-01-23 |