| NPI | 1942402805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ 7812) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI 1049) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-09-20 |