| NPI | 1326597964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 276) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |