| NPI | 1710115787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA10017) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2013-03-12 |