| NPI | 1679099238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 2639) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-10-16 |