| NPI | 1659530301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4422) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 9942) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2017-01-25 |