| NPI | 1053552356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201000613) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001958) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |