| NPI | 1538299581 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10880) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2873-154) | 
| 222Q00000X Developmental Therapist (Licence: FL SA10880) | |
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2011-11-08 |