| NPI | 1033436134 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10273) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 10273) | 
| Enumeration Date | 2010-04-28 | 
| Last Update Date | 2011-07-18 |