| NPI | 1326167313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11499) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA11499) |
| 222Q00000X Developmental Therapist (Licence: FL SA 11499) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-01-07 |