| NPI | 1629386487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11273) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SZ5245) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SZ5245) | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI1813) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-11-29 |