| NPI | 1629461454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-09-10 |