| NPI | 1215055025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 13701) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 517) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-09-03 |