| NPI | 1720207665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLPL5417) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-10-23 |