| NPI | 1629168554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA2396) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-04-18 |