| NPI | 1679942247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14097) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA14097) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-05-12 |