| NPI | 1376608018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 3155) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-02-15 |