| NPI | 1588913685 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: ID SLP-3051)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2012-09-05 | 
| Last Update Date | 2025-06-11 |