| NPI | 1669755930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11964) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5600) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2016-08-17 |