| NPI | 1356563191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 245371) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-08-14 |