| NPI | 1598931529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 5054) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A17111) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2022-11-30 |