| NPI | 1639880909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4600) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-07-24 |