| NPI | 1376686881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5518) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 5518) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-12-21 |