| NPI | 1568774016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9441) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS 571) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |