| NPI | 1952575466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9139) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL sa9139) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2012-06-05 |