| NPI | 1437712650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA13522) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-02-22 |