| NPI | 1174869390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2024045402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012015945) |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2024-12-20 |