| NPI | 1992001911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12772) |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: FL SI1294) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2014-07-16 |