| NPI | 1073519211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A1020) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S1020) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-08-13 |