| NPI | 1194947580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5811) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA5811) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-05-11 |