| NPI | 1417408642 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 33284) | 
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: TX 33284) | 
| Enumeration Date | 2016-10-24 | 
| Last Update Date | 2016-10-24 |