| NPI | 1578939500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8466) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2018-03-17 |