| NPI | 1770817496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9391) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SA 9391) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2013-02-08 |