| NPI | 1750699922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11625) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2019-07-31 |