| NPI | 1750685996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10443) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2021-11-01 |