| NPI | 1225267073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4008) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: LA 4008) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: LA 4008) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |