| NPI | 1245868520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 752) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |