NPI | 1215280227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AUD 2186) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP 17197) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2015-06-09 |