| NPI | 1376546580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3352) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: LA 3352) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 3352) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-09-20 |