| NPI | 1558426965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7939) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 001212700) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-03-04 |