| NPI | 1457501066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 601) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PR 537) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2025-06-12 |