| NPI | 1811313224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2266) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA3536) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2017-03-29 |