| NPI | 1225125065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000214) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: VT 0630000141) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |