| NPI | 1023216942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU 2513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 13625) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-01-04 |