| NPI | 1043417561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA7800) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2011-02-02 |