| NPI | 1902182256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR 234) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AR 201371) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2021-04-13 |