| NPI | 1063187565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20426) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-12-22 |