| NPI | 1003679812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21511) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-06-03 |