| NPI | 1093907073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: LA 4959) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: LA 4959) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |