| NPI | 1801929252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 372) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 1494) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-09-26 |