| NPI | 1689805319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13192) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2015-01-16 |