| NPI | 1275528036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SA-LIC-655) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MT 249) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2024-04-22 |