| NPI | 1144369414 |
|---|---|
| Former Name | LISA MARIE OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 2947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 30) |
| 231H00000X Audiologist (Licence: AK 55) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 20127) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-02-19 |