| NPI | 1992823157 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7843) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA7843) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-08-14 |