| NPI | 1275881567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5889) |
| 222Q00000X Developmental Therapist (Licence: FL SA12633) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2014-05-23 |