| NPI | 1427397678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sz8926) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA11547) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2555) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2019-01-11 |