| NPI | 1952515355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12824) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-12-19 |