| NPI | 1164732616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4673) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-07-15 |