| NPI | 1891934501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4309) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: PR 000635) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2021-07-06 |