| NPI | 1700011715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 12156718) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2018-05-30 |