| NPI | 1184465965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 30005368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11080) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2026-07-09 |