| NPI | 1053681007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2115) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL L260100907430) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2017-02-03 |