| NPI | 1629141593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3052) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA3052) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-06-14 |