| NPI | 1679174965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6419-154) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1611-60) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-09-11 |