| NPI | 1467067645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SA19203) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-07-07 |