| NPI | 1063770675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI2053) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-10-17 |