| NPI | 1811871064 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: PR 1041)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: PR 4223)  | 
| Enumeration Date | 2025-08-01 | 
| Last Update Date | 2025-08-24 |