| NPI | 1205261138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD001034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004469) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-05-26 |