| NPI | 1760874887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAJ-2024-0301) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6100-R) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM SLPA6834) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-08-15 |