| NPI | 1477948966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16108) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11276) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-11-05 |