| NPI | 1871878348 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA12367)  | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| 235Z00000X Speech-Language Pathologist,   (Licence: IL 146.010190)  | |
| Enumeration Date | 2011-10-17 | 
| Last Update Date | 2022-08-05 |