| NPI | 1811103419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8599) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 001257600) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-04-04 |