| NPI | 1588474365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 1489) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 002444) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-04-21 |