| NPI | 1467473967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8133) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 8133) | 
| Enumeration Date | 2006-07-21 | 
| Last Update Date | 2015-11-12 |