| NPI | 1558631465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 3082) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S4176) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2024-12-12 |