| NPI | 1336165620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6096) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 812231800) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-03-28 |