| NPI | 1972896348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14128) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL SA14128) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-10-21 |