| NPI | 1407193980 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14005) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008426) | 
| 222Q00000X Developmental Therapist (Licence: FL SA14005) | |
| Enumeration Date | 2013-01-03 | 
| Last Update Date | 2016-09-22 |