| NPI | 1104450576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5352) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 104100000X Social Worker | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-05-15 |