| NPI | 1679096267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA16301) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-06-25 |