| NPI | 1033342597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM 6126) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4603) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-12-08 |