| NPI | 1114103579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12791) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: FL NA) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2025-09-22 |