| NPI | 1740246438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P7954) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AR A95) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-08-24 |