| NPI | 1760938526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 8029467) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 684;15SLPA) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2017-01-19 |