| NPI | 1063589463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-1282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1281) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |