| NPI | 1356721534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P019210) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11344) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-07-17 |