| NPI | 1639131097 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA1282)  | 
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter | 
| Enumeration Date | 2006-04-03 | 
| Last Update Date | 2014-12-05 |