| NPI | 1801122734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22258) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13444) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-11-13 |