| NPI | 1114642295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 14380962) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 14380962) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |