| NPI | 1063001949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2294) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |