| NPI | 1194059576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10242) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA10242) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2013-10-03 |