| NPI | 1265915441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 8792) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-08-14 |