| NPI | 1386983302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7750) |
| Additional Taxonomies | 104100000X Social Worker |
| 222Q00000X Developmental Therapist | |
| 247200000X Technician, Other | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2470) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2016-09-13 |