| NPI | 1720124514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL OT3260) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OT3260) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-03-03 |