| NPI | 1972970739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2629) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SI2629) |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SI2629) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-07-05 |