| NPI | 1407228042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL SA 11506) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 11506) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |