| NPI | 1417079138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4453) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL sa4453) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-02-23 |