| NPI | 1669629606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6312) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA6312) |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SA6312) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2024-01-04 |