| NPI | 1609015957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI2086) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2012-07-02 |