| NPI | 1194976076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10631) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10631) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2020-10-25 |