NPI | 1558440487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011031525) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006005753) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2012-05-30 |