| NPI | 1639394752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7095) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA7095) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-08-30 |