NPI | 1528284312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 003849-1) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-08 |