| NPI | 1225054521 |
|---|---|
| Former Name | TAYLOR LEIGH POWANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9071) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA9071) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-08-31 |