| NPI | 1740482785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5426) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL sa5426) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-05-05 |