| NPI | 1407811185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3055-226) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2460) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-10-02 |