| NPI | 1215328430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2498) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SI2498) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2017-12-04 |