| NPI | 1154510576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2013025008) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006011480) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-12-09 |