| NPI | 1134591910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA18306) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2025-12-22 |