| NPI | 1073751541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14262) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2017-03-08 |