| NPI | 1003811076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PR 366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 219) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-10-25 |