| NPI | 1548819949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA18394) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ9327) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-03-24 |