| NPI | 1861613986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA3299) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA3299) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-09-12 |