| NPI | 1538380423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4076) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA4076) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-12-05 |