| NPI | 1861695553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 145-W) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 987) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-09-11 |