| NPI | 1407190739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9078) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL COTA/L 12341) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2019-06-18 |