| NPI | 1932648797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3117) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-01-08 |