| NPI | 1164709655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8041) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-04-10 |