NPI | 1457608457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23783) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2012-08-08 |
Last Update Date | 2025-04-09 |