| NPI | 1265047062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9668) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-11-29 |