| NPI | 1124473509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa12021) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-01-15 |