| NPI | 1801074687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5897) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL SA 5897) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-04-02 |