| NPI | 1629124839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU 1622) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 8678) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-07-08 |