| NPI | 1063519106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5490) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-11-23 |