| NPI | 1013216662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI1221) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-11-08 |