| NPI | 1871888107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11849) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI1960) |
| 222Q00000X Developmental Therapist (Licence: FL SA11849) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2013-03-19 |