| NPI | 1689814733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 09136761) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204714) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-12-07 |