| NPI | 1457488280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8513) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA8513) |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SA8513) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-08-21 |