| NPI | 1952594418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 641) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 1597) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2021-04-05 |