| NPI | 1912179409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4494) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2011-06-09 |