| NPI | 1700258662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14079) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 14079) |
| 251E00000X Home Health (Licence: FL SA 14079) | |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SA 14079) | |
| 253J00000X Foster Care Agency (Licence: FL SA 14079) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2016-06-23 |