| NPI | 1184025017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12278) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-06-27 |