| NPI | 1992052757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5274) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2015-05-01 |