| NPI | 1043243769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA620) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |