| NPI | 1497008775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5692) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |