| NPI | 1801905914 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2126) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2011-09-12 |